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Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... of Hypernatremia ... Differential #Algorithm #Causes ... #Nephrology #Diagnosis ... Recommended Text: Nephrology
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Inappropriate - Consider: SIADH ... #diagnosis #differential ... #algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... insufficiency, SIADH ... #Algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... , SSRIs) - SIADH ... UnremarkableLab #Hyponatremia ... #nephrology #sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... maintain long-term ... SatyaPatelMD #SIADH ... #Management #hyponatremia ... #nephrology #treatment
Gowers' Sign on Physical Exam

Caused by proximal muscle weakness typically seen in muscular dystrophy

#Gowers #Sign #PhysicalExam
Gowers' Sign on ... Physical Exam Caused ... #Gowers #Sign ... #PhysicalExam #neurology ... #clinical #video
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... of SIADH: Pain, ... this as a long-term ... #Management #hyponatremia ... #nephrology #treatment
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... #differential #diagnosis ... table #sodium #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... • Euvolemia: SIADH ... MH/CCF/CWRU EM ... Differential #Algorithm #diagnosis ... #causes #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... is usually caused ... #Differential #Diagnosis ... #Treatment #management ... #nephrology #sodium